21 results
multimodal management of shivering during TTM 

#shivering #management #TTM #CriticalCare
management of shivering ... during TTM #shivering
Serotonin Syndrome
 - Rapid onset 
 - Combination of 2+ serotonin agonists 
Mental status changes:
Diarrhea - Shivering
Toxidromes: Serotonin Syndrome, Neuroleptic Malignant Syndrome, Anticholinergic Delirium - Venn Diagram

All: Hypertension, Tachycardia

Anticholinergic Delirium:
- dilated pupils,
hyperkinetic, myoclonus, shivering
Hypothalamus Anatomy and Hypothalamic Nuclei
 • Anterior hypothalamic nucleus - Body temperature, thermal regulation (heat dissipation),
hypothalamic area - Shivering
Secondary Causes of Hypothermia - Differential Diagnosis Framework

Definition:
- Core temp < 35°C

Infectious:
 - Sepsis

Neuromuscular Disease:
 -
: - Impaired shivering
Algorithm for the Diagnosis of Serotonin Syndrome
 - Serotonin syndrome is thought to be caused by
hypertonicity, and shivering
Iridodonesis

Physical examination revealed iridodonesis, or “dancing” of the iris, which was elicited by rapid movement of
described as a shimmering
Hypothermia Management Cold Card

1. From outside ring to centre: Assess Consciousness, Movement, Shivering, Alertness 

2. Assess
Consciousness, Movement, Shivering
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Hypothermia & Shivering
Uterine Adenomyosis on Transvaginal Ultrasound

Beautiful example of uterine adenomyosis. It always reminds me of a shimmering
reminds me of a shimmering